EasyMed TensCare Elise User manual

.
elise au manual Rev 2.2 5/16 artwork.indd 00-00
Distributed by:
In Australia:
In New Zealand:
JA Davey Pty Ltd
626 Lorimer Street
Port Melbourne, VIC 3207
Tel: [phone]
www.jadavey.com.au
www.tenscare.com.au
JA Davey Ltd
C/-Healthcare Logistics
58 Richard Pearse Drive,
Mangere, Auckland 2022
Tel: [phone]
www.jadavey.co.nz
Manufactured exclusively for
TensCare Ltd by:
EasyMed Instruments Co., Ltd.
5/F – 6/F Block A, Gupo Gongmao Building,
Daliang, 528300 Sunde, Guandong, China
TensCare Ltd, PainAway House,
9 Blenheim Road, Longmead Business Park,
Epsom, Surrey KT19 9BE, UK
Tel: [phone]
www.tenscare.co.uk [e-mail]
Pub Ref.: I-EL-AU Rev 2.2 5/16
Pelvic Floor Exerciser
INSTRUCTIONS FOR USE
READ CAREFULLY BEFORE STARTING USE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
Introduction
Intended Use
“Elise” Features
Pelvic Floor Muscle
Pelvic Floor Exercises
Types of Incontinence
Advantages of the “Elise”
How “Elise” Works
Contraindications, Warnings & Cautions
Continence Programs
Controls
Screen Information
Usage Memory
Leads Alarm
Contents
Setting up and Using the “Elise”
Anal Probe
Cleaning
Troubleshooting
Charging the Battery
General Specifications
EMC Precautions
Disposal
Accessories
Warranty
Pelvic FloorExerciser
CONTENTS
elise au manual Rev 3.0 5/16 artwork.indd 1 -2
3
3
4
5
7
9
9
10
11
15
19
22
23
24
25
26
30
33
33
35
37
39
39
39
42
Page

INTRODUCTION
Bladder leakage and incontinence are common problems for both
women and men, affecting their long term health. Exercising the
pelvic floor muscles is recognised as the way of preventing and
treating symptoms of incontinence and pelvic floor weakness.
•4 preset clinically tested programs
•The “Elise” programs treat STRESS, URGE and MIXED
Incontinence using gentle electrical stimulation
•The “Elise” TONE program firms the pelvic floor and may
improve sexual pleasure
•The “Elise” is easy to use with full instructions
•Elegant slim design
•One touch memory
•Rechargeable Li-ion Battery
INTENDED USE
1. “Elise” FEATURES
•Comfortable Stimulation
The strength of the stimulation increases gradually, making the
feeling very comfortable and in your control.
•Easy Start - One Touch Memory
The “Elise” has intelligent memory that enables the unit to
remember the last program and the strength setting used. At the
press of only one button the strength level returns to 50% of the last
level used.
•Safety Duration Override
A safety duration override feature has been incorporated into the
“Elise” to ensure that the pelvic floor muscle is not overworked. This
is set at twenty minutes after which time the unit will switch off. It is
possible to alter the time in order to customise the unit to your
needs.
•Usage Memory
The “Elise” has a usage memory which shows the length of time
that the unit has been in use and the average level of strength
utilised.
•Rechargeable Li-ion battery
The “Elise” is powered by a slimline 3.7V Li-ion rechargeable
battery. The rechargeable battery, charging cradle and power
adaptor are included in the kit.
3 4
elise au manual Rev 3.0 5/16 artwork.indd 3 - 4
Warning: Not suitable for use in children without
medical supervision.
This device has been designed to be a medical device
used in the home healthcare environment to treat urinary
and/or faecal incontinence and may also treat erectile
dysfunction using gentle electrical stimulation (i.e. EMS
– electrical muscle stimulation & TENS - transcutaneous
electrical nerve stimulation). Do not use this device for
any purpose other than this intended use.

•in women also
- provide support for the baby during pregnancy and
- assist in the birthing process
Pelvic floor muscles are also important for sexual function in both
men and women:
•in men, it is important for erectile function and ejaculation.
•in women, voluntary contractions (squeezing) of the pelvic floor
contribute to sexual sensation and arousal.
However pelvic floor muscles may become weak. If your pelvic floor
muscles become stretched or weakened, your pelvic organs may no
longer be fully supported and you may lose control of your bladder
or bowel movements.
For some women, the pelvic floor muscles can also become too
tight. This condition is less common, but it can lead to pelvic pain
and make it difficult for you to empty your bladder or bowel
completely.
Common signs that can indicate a pelvic floor problem include:
•accidentally leaking urine when you exercise, laugh, cough or
sneeze
•needing to get to the toilet in a hurry or not making it there in time
•constantly needing to go to the toilet
•finding it difficult to empty the bladder or bowel
•accidentally losing control of the bladder or bowel
•accidentally passing wind
•pain in your pelvic area
•painful sex, or
•a prolapse
-in women, this may be felt as a bulge in the vagina or a
feeling of heaviness, discomfort, pulling, dragging or dropping. This
occurs when one or more of the pelvic organs (bladder, bowel or
uterus)
5 6
elise au manual Rev 3.0 5/16 artwork.indd 5-6
2. PELVIC FLOOR MUSCLE
The “FLOOR” of your pelvis is made up of layers of muscles that
support the bowel, bladder, urethra and uterus. These muscles are
like a hammock, or the bottom and sides of a bowl, in shape. They
run from pubic bone in the front to the end of the spinal column (or
tail bone) in the back.
The pelvic floor muscles:
•assist in supporting the abdominal and pelvic organs
•work with the abdominal and back muscles to stabilise and
support the spine

7 8
elise au manual Rev 3.0 5/16 artwork.indd 7-8
become displaced and sag down into the vagina. It is very common
in Australia and New Zealand and occurs in about 40%of women.
Symptoms tend to become exacerbated towards the end of each
day and if left untreated, they will generally worsen over time.
-in men, this may be felt as a bulge in the rectum or a
feeling of needing to use the bowels but not actually needing to go.
Like other muscles in your body, the pelvic floor can be
strengthened with regular exercise. Building pelvic floor strength
enables the muscles to better support your pelvic organs, improves
your bladder and bowel control and can stop accidental urine,
faeces or wind leakage.
It can also reduce your risk of prolapse, improve your recovery from
childbirth and gynaecological surgery, and increase your sexual
pleasure. A continence therapist can help you learn how to exercise
your pelvic floor.
Doing just a few pelvic floor exercises every day will help to treat
bladder weakness or prolapse symptoms, and will help to prevent
problems later on.
3. HOW TO PERFORM PELVIC FLOOR EXERCISES
Once the “Elise” has helped you develop control of the pelvic floor
muscles and built muscle strength, it is recommended to make
Pelvic Floor Exercises (sometimes called Kegel Exercises) part of
your daily life. Kegel exercises can be done at any time and are
very discreet so you can do them almost anywhere; lying in bed,
sitting at the computer or waiting for a bus. It is a good idea to try
and develop a routine which you can repeat each day.
First of all, it is important to find your pelvic floor muscles and feel
them working. So here are a couple of techniques which might help:
1) Try inserting one or two clean fingers into your vagina and then
squeezing the surrounding muscles, lifting up and towards your belly
button –a squeezing and lifting sensation.
2) Another way is to try and stop the flow of urine during urination. If
you are successful then you know you are exercising the correct
muscles.
Note: These techniques are just to help you confirm that you are
using the correct muscles. It is important to have an empty bladder
before starting the exercises.
•Try to remember the lifting and squeezing sensation and when
you are ready try to recreate it just using the muscles you
identified earlier; don't tense the muscles in your legs, stomach
or buttocks and remember to breathe normally.
•Aim to hold each squeeze or 'contraction' for between three and
five seconds, then release and relax. You should feel a ‘letting
go’ of the muscles. Rest for five seconds and then repeat. Try
and do about ten squeezes in this way. Repeat the whole
process three or four times a day.
•Over a period of time try to increase the muscle contractions up
to about ten seconds, but remember to rest in between each
squeeze for longer periods.
Note: It is important to aim for quality contractions, not quantity, so a
few good hard squeezes are better than a series of weak ones.
Do not worry if you find holding for 3 seconds difficult at first. Just
squeeze for as long as you feel comfortable. The more exercise you
do, the stronger the muscles will become and the longer you will be
able to squeeze.